- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $20,605.20 / $33,651.80
| Facility | | $6,303.00 | $20,605.20 | $33,651.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,214.72 / $37,429.58 / $50,222.41
| Facility | | $27,214.72 | $37,429.58 | $50,222.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,297.70 / $30,620.66 / $42,925.14
| Facility | | $22,297.70 | $30,620.66 | $42,925.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,412.16 / $34,007.68 / $42,872.56
| Facility | | $19,412.16 | $34,007.68 | $42,872.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,073.39 / $31,939.07 / $43,729.93
| Facility | | $20,073.39 | $31,939.07 | $43,729.93 |